03D2280915 CLIA NUMBER - NPO HEALTHCARE LLC

Laboratory Demographics

CLIA Number: 03D2280915

Facility Name: NPO HEALTHCARE LLC

Facility Address:
44009 W W NEELY DR
MARICOPA, AZ
ZIP 85138
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Facility Phone Number: 630 334-6433

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1336712348

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	03D2280915
LAB Type	Practitioner Other
Facility Name	NPO HEALTHCARE LLC
Street	44009 W W NEELY DR
City	MARICOPA
State	AZ
ZIP	85138
Phone	630 334-6433
CertificateType	4
CertificateEffectiveDate	4/27/2023
CertificateExpirationDate	4/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024